Provider Demographics
NPI:1679913586
Name:NTRANOS, ACHILLEFS (MD)
Entity Type:Individual
Prefix:DR
First Name:ACHILLEFS
Middle Name:
Last Name:NTRANOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9440 SANTA MONICA BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4614
Mailing Address - Country:US
Mailing Address - Phone:310-774-7025
Mailing Address - Fax:918-398-9214
Practice Address - Street 1:9440 SANTA MONICA BLVD STE 301
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4614
Practice Address - Country:US
Practice Address - Phone:310-774-7025
Practice Address - Fax:918-398-9214
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103G00000X
NY2880212084N0400X
CAC1813992084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist